| NPI | 1548287287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 3Z00215A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY ky0591) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-01-20 |